ABSTRACT
Resumo Introdução Há uma grande demanda de saúde bucal por parte da população em situação de rua (PSR). Objetivo Este estudo objetivou analisar as principais necessidades e dificuldades relativas ao cuidado de saúde bucal dessa população no Distrito Sanitário I do município do Recife. Método Trata-se de um estudo exploratório, descritivo, com abordagem qualitativa. Para tanto, foram realizadas entrevistas semiestruturadas com 7 moradores de rua, 4 trabalhadores do Consultório na Rua (CnaR) e 12 cirurgiões-dentistas da atenção básica, analisadas, em seguida, de acordo com o método de análise de conteúdo. Resultados Dentre as principais necessidades de saúde bucal, foi relevante o apontamento do acesso ao atendimento clínico odontológico por todos os atores, sendo ele também referenciado como dificuldade e solução para o atendimento da PSR. A adesão ao tratamento foi citada como dificuldade pelos cirurgiões-dentistas. Entretanto, essa citação demonstrou possivelmente ser reflexo tanto de preconceito como de acolhimento precário na consulta odontológica, conforme denunciado pelos trabalhadores do CnaR e moradores de rua. Conclusão Faz-se necessário fortalecer as equipes de saúde bucal e do CnaR por meio de educação permanente, de tal modo que o acesso a ações em serviços de saúde bucal para o morador de rua seja efetivado.
Abstract Background There is a massive demand for oral health by homeless individuals. Objective The objective of this study was to analyze the main needs and difficulties related to oral health care among homeless individuals of Recife's Distrito Sanitário I. Method This is an exploratory, descriptive study, with a qualitative approach. Semi-structured interviews were held with 7 homeless individuals, 4 workers of the clinic on the street (Consultório na Rua - CnaR) and 12 primary care dentists. Subsequently, they were analyzed according to the content analysis method. Results Among the principal oral health needs, all individuals highlighted the lack and need of access to dental care by the homeless population. Adherence to treatment was cited by the dentists as a difficulty. However, this showed that it may be the result of dentist's prejudice or lack of ability to receive patients in the dental consultation, as denounced by CnaR workers and homeless individuals. Conclusion It is necessary to strengthen oral health teams and CnaR by permanent education, thus ensuring that actions and access to the oral health services for homeless individuals is effective.
ABSTRACT
This study aimed to assess the prevalence of cumulative trauma disorders (CTD), overweight and obesity and the association between them, among public health dentists. Methods: The study included 150 dentists working at various public health system units in Recife, PE, Brazil. A Brazilian version of the Nordic Musculoskeletal Symptoms Questionnaire was used. Obesity and overweight were observed across the BMI (body mass index) recommended by the World Health Organization. A descriptive analysis was carried out using SPSS 13.0 software. Results: Among respondents, 79.3% were female with a mean age of 44.42 years. The presence of musculoskeletal symptoms was reported by 138 (92%) of participants, 129 of whom linked the symptoms to their work activity. The cervical region was the most involved, accounting for 104(14.3%) of the total 723 affected areas. Overweight was observed in 32% of the professionals and obesity in 13%. Of the 150 participants, 30 (20%) received a medical diagnosis of CTD and of these, 13 (43.3%) had a high BMI. The 40-49-year-old age group was most affected by CTDand females were more affected than males, accounting for 22.7% of professionals interviewed. There was no significant association between the presence of CTD and overweight/obesity (p>0.05). Conclusions: However, given the multifactorial nature of occupational diseases, it is likely that overweight and obesity may act as a predisposing factor in these diseases, interacting and enhancing the effects of other important risk factors for the occurrence of work-related musculoskeletal disorders.
Subject(s)
Cumulative Trauma Disorders , Obesity , Occupational Health , Weight GainABSTRACT
OBJETIVO: Este trabalho teve como objetivo avaliar a qualidade dos artigos relacionados com a acurácia diagnóstica da ultrassonografia na síndrome do túnel do carpo idiopática e relacionada com o trabalho. MATERIAIS E MÉTODOS: Realizou-se busca em bases de dados eletrônicas, selecionando-se relatórios de revisões sistemáticas, ensaios clínicos randomizados e estudos observacionais. Após quatro etapas de análise, desde a triagem inicial até a avaliação pelo instrumento elaborado pelo Critical Appraisal Skills Programme, os artigos foram classificados em níveis de evidência, com seus respectivos graus de recomendação. RESULTADOS: Dos 68 artigos inicialmente encontrados, apenas 4 preencheram os critérios de qualidade propostos neste estudo. A mensuração da área transversal do nervo mediano foi o critério mais importante para o diagnóstico de síndrome do túnel do carpo (ponto de corte entre 9 e 10 mm²: sensibilidade = 82-86,3 por cento; especificidade = 48-87 por cento). Os quatro artigos obtiveram nível de evidência "1b" e grau de recomendação "A". CONCLUSÃO: A avaliação ultrassonográfica em pacientes com suspeita clínica de síndrome do túnel do carpo pode ser realizada como teste de primeira linha, com boa relação custo-benefício, reduzindo a necessidade de exames eletrodiagnósticos.
OBJECTIVE: The present study was aimed at assessing the quality of articles related to diagnostic accuracy of ultrasonography both in idiopathic and occupational carpal tunnel syndrome. MATERIALS AND METHODS: A search was undertaken in electronic databases, selecting reports on systematic reviews, randomized clinical trials and observational studies. After four stages of analysis, from an initial screening to the evaluation by means of the assessment scale developed by the Critical Appraisal Skills Programme, the articles were classified according to levels of evidence, with their respective grades of recommendation. RESULTS: Among 68 articles initially identified, only 4 have met all the methodological quality criteria proposed in the present study. Measurement of the cross-sectional area of the median nerve was the most important criterion for the diagnosis of carpal tunnel syndrome (cut-off point between 9 and 10 mm²: sensitivity = 82-86.3 percent; specificity = 48-87 percent). The four articles were given level of evidence "1b" and grade of recommendation "A". CONCLUSION: The sonographic evaluation of patients with clinical suspicion of carpal tunnel syndrome can be cost-effectively performed as a first-line test, reducing the need for electrodiagnostic testing in these patients.